The importance of clinical decision making

As nurses you have all learned the importance of clinical decision making, critical thinking and clinical judgement to making effective and safe patient care decisions in practice. As you move into your role of advanced practice nurse whether that is leadership and management or NP, how does this change? Does it? This week read through some of the articles provided about how nurses and advanced practice nurse make decisions in practice.

Is there a difference between the skills required by the bedside nurse and those needed by APN? Support the discussion with rationale and readings.
As you transition to your role as an APN what clinical decision-making skills do you feel are needed for nurses planning to be NP? Nurse leaders? Support this with course readings and other academic literature. Are these different, if so why or why not?
What standardized decision-making tool has been created to guide nurses at all levels to make practice decisions? Why was this created, what is the purpose of the tool? How would this be used in your role as an APN; be specific and describe how to apply this tool. Are there other standardized clinical decision-making tools to guide NP/APN to make decisions in practice? Should these be employed and/or are they employed in all care setting for NP? Provide a rationale.
Explain your rationale. Describe the role of the Consensus Model for APRN.

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Sample Answer

Is there a difference between the skills required by the bedside nurse and those needed by APN?

Yes, there is a difference between the skills required by the bedside nurse and those needed by APN. Bedside nurses need to be able to make quick decisions in high-pressure situations, and they need to be able to follow orders from physicians. APNs, on the other hand, need to be able to make independent decisions, and they need to be able to provide a wider range of healthcare services.

Here are some of the specific skills that are required for APNs:

  • Critical thinking: APNs need to be able to think critically and assess patients’ needs. They need to be able to identify potential problems and develop treatment plans.
  • Clinical judgment: APNs need to be able to use their knowledge and experience to make clinical decisions. They need to be able to weigh the risks and benefits of different treatment options.
  • Communication: APNs need to be able to communicate effectively with patients, families, and other healthcare providers. They need to be able to explain complex medical concepts in a way that is easy to understand.
  • Leadership: APNs often have leadership roles in healthcare settings. They need to be able to delegate tasks, motivate staff, and resolve conflicts.

Full Answer Section

As you transition to your role as an APN what clinical decision-making skills do you feel are needed for nurses planning to be NP? Nurse leaders? Support this with course readings and other academic literature. Are these different, if so why or why not?

The clinical decision-making skills that are needed for nurses planning to be NP and nurse leaders are similar, but there are some key differences. For both roles, nurses need to be able to think critically and assess patients’ needs. They also need to be able to use their knowledge and experience to make clinical decisions. However, nurse leaders also need to be able to delegate tasks, motivate staff, and resolve conflicts.

Here are some specific skills that are needed for nurse leaders:

  • Strategic planning: Nurse leaders need to be able to develop and implement strategic plans for their organizations.
  • Change management: Nurse leaders need to be able to manage change effectively.
  • Collaboration: Nurse leaders need to be able to collaborate with other healthcare providers.
  • Influence: Nurse leaders need to be able to influence others to achieve their goals.

What standardized decision-making tool has been created to guide nurses at all levels to make practice decisions? Why was this created, what is the purpose of the tool? How would this be used in your role as an APN; be specific and describe how to apply this tool. Are there other standardized clinical decision-making tools to guide NP/APN to make decisions in practice? Should these be employed and/or are they employed in all care setting for NP? Provide a rationale.

The Nurse Decision-Making Framework (NDMF) is a standardized decision-making tool that has been created to guide nurses at all levels to make practice decisions. The NDMF was created by the American Association of Colleges of Nursing (AACN) in 2006. The purpose of the NDMF is to provide nurses with a systematic approach to making clinical decisions.

The NDMF is a six-step process:

  1. Identify the clinical problem.
  2. Gather data.
  3. Analyze the data.
  4. Generate alternative solutions.
  5. Select the best solution.
  6. Implement the solution.

The NDMF can be used in any healthcare setting. It is a flexible tool that can be adapted to the specific needs of the patient and the situation.

There are other standardized clinical decision-making tools that are available for NP/APNs. These tools include the Advanced Practice Registered Nurse (APRN) Decision-Making Model and the Clinical Decision Support (CDS) Tool for Advanced Practice Nurses.

These tools can be helpful for NP/APNs in making clinical decisions. However, it is important to note that these tools are not a substitute for clinical judgment. NP/APNs still need to use their knowledge and experience to make the best decisions for their patients.

Explain your rationale. Describe the role of the Consensus Model for APRN.

The Consensus Model for APRN Regulation was developed in 2008 by the National Council of State Boards of Nursing (NCSBN). The Consensus Model is a framework for regulating APRNs. It defines the roles and responsibilities of APRNs, and it establishes standards for APRN education and practice.

The Consensus Model is important because it provides a consistent framework for regulating APRNs across the United States. This helps to ensure that APRNs are prepared

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